P01-05 Development of the MOVING policy framework: monitoring and promoting action in physical activity policy

Abstract Background The World Cancer Research Fund International's (WCRF International) analysis of global research shows a strong link between diet, physical activity, and risk of cancer. To address this, WCRF International has developed a package of policy resources to promote healthy diets and physical activity to support reporting, categorising and monitoring of policy actions. The MOVING policy framework was developed as a complement to the well-established NOURISHING framework of diet-related policies-outlining a comprehensive set of areas in which governments should take action to promote physical activity. The new framework forms the basis for the MOVING database of implemented policy actions. Methods For the MOVING framework, literature reviews were undertaken, and the results were distilled into policy categories on which academics and policy experts provided feedback. The framework is the basis for a specific inclusion criteria and search strategy to determine how policy actions will be collected, reviewed and categorised for the MOVING database. A comprehensive scanning methodology was designed to identify all relevant policies across the MOVING policy areas. Relevant policies are then verified with in-country experts and uploaded to the database. This methodology was tested, refined and will be applied to 27 European countries. Results The MOVING policy framework comprises six policy areas within four policy domains and details the areas where governments should take action to promote physical activity. The framework forms the structure for a new database of global physical activity policies, which was launched in the summer of 2020. The MOVING database currently includes 234 policy actions from 12 countries. The MOVING database is a logical and practical tool, allowing users to search for policy actions categorised in the structure of the MOVING framework. Conclusion The MOVING physical activity framework and database are innovative tools that support reporting, categorising and monitoring of physical activity policy actions that will work alongside the NOURISHING framework and database. These physical activity policy tools allow stakeholders such as researchers, civil society organizations and policy makers to quickly identify both gaps and strengths in government action and therefore assess where there is scope for improvement within and across countries.


Background
The World Health Organization (WHO) acknowledges the importance of preschool children taking part in comprehensive physical activities supporting, among other things, their motor development, and competencies. A growing number of children attend early childhood education and care (ECEC), and expectations that this will support the development and learning of the youngest children are high. ECEC are governed by different policies embodied in both laws and curricula, and the framework of a curriculum plays a key role in ensuring the quality of ECEC services. The documents represent the content society wants the ECEC institutions to disseminate, and set out the values, objectives, and content of the work of pre-school teachers and serve as a point of reference for ECEC teachers and schools. The purpose of this study was to examine the values of movement and physical activity (MoPA) using government policy documents ECEC from Denmark, Finland, Iceland, Norway, and Sweden. Methods This descriptive, comparative study was designed based on curriculum theory and used word count and content analyses to examine values of MoPA and to identify similarities and differences in the ECEC policies of Nordic countries.

Results
Seven terms were identified as MoPA related; body, motor, move, physical activity, physical education, coordination, idrott/liikunta. These terms occurred in various content contexts: development, environment, expression, health and well-being, learning and play, albeit sparsely and were referred to as both a goal in itself and as a mean of achieving other goals (e.g., learning or development in another area). Formulations dedicated to MoPA as a goal were present in the Danish and Finnish curricula and, to some extent, also in the Norwegian, while the Icelandic and Swedish curricula mentioned MoPA only as a mean. Conclusion Findings indicated that MoPA, which are important for children's development, health, and well-being, is a lowpriority value, to varying degrees, in the ECEC policies enacted by the Nordic countries. Thus, the guidance provided to educators and stakeholders therein is inexplicit. The low priority of the MoPA domain in the ECEC policies might negatively affect the possibility for young children to be physically active in preschools.
Abstract citation ID: ckac095.004 P01-04 The importance of local organizational and leadership capacity to support Danish school heads in the implementation of a national physical activity school requirement Background Regular physical activity (PA) strengthens both the physical, psychological and social health in children and young people. Furthermore, research show that PA is beneficial for academic related outcomes. In 2014, the Danish government introduced a wide-ranging reform of primary and lower secondary education that applied to all public schools. A distinctive feature was that it became mandatory for schools to deliver an average of 45 minutes of daily PA. Local school heads and the school's capacity for change is considered key to deliver such a policy-driven requirement. Thus, the aim of this study is to explore the ability of schools to implement the stated requirement of 45 minutes of daily PA. There is special focus on the role and impact of leadership by school heads. Methods Eleven semi-structured interviews were conducted across eleven Danish schools. Respondents were school staff with management responsibilities (leading teachers with managerial duties, deputy heads and school heads). Thematic analyses were performed, focusing on factors relating to local organizational and leadership capacity.

Results
Three main factors were found to support the local leader's ability to the implement the mandatory daily PA: i) local school culture, values, and norms; ii) staff skillset and school resources; iii) existing work routines and systems.

Conclusion
Results indicate that local school heads are central in converting the Danish school requirement of 45 minutes of daily PA into local action. Future PA programs could benefit from focusing specifically on engaging school heads, as they can both help advance broad ambitions into concrete goals, secure supportive structures and organize the implementation strategy within the local setting. In connection with this heads must be able to rely on sufficient organizational ad administrative components to ensure quality delivery. This entails building sufficient competencies among relevant staff groups on, for instance, how to incorporate PA in daily practice as well as allocate work hours for further development of such practices. Also, assigning a local PA ambassadors is highlighted Abstract citation ID: ckac095.005 P01-05 Development of the MOVING policy framework: monitoring and promoting action in physical activity policy

Background
The World Cancer Research Fund International's (WCRF International) analysis of global research shows a strong link between diet, physical activity, and risk of cancer. To address this, WCRF International has developed a package of policy resources to promote healthy diets and physical activity to support reporting, categorising and monitoring of policy actions. The MOVING policy framework was developed as a complement to the well-established NOURISHING framework of diet-related policies-outlining a comprehensive set of areas in which governments should take action to promote physical activity. The new framework forms the basis for the MOVING database of implemented policy actions.

Methods
For the MOVING framework, literature reviews were undertaken, and the results were distilled into policy categories on which academics and policy experts provided feedback. The framework is the basis for a specific inclusion criteria and search strategy to determine how policy actions will be collected, reviewed and categorised for the MOVING database. A comprehensive scanning methodology was designed to identify all relevant policies across the MOVING policy areas. Relevant policies are then verified with in-country experts and uploaded to the database. This methodology was tested, refined and will be applied to 27 European countries.

Results
The MOVING policy framework comprises six policy areas within four policy domains and details the areas where governments should take action to promote physical activity. The framework forms the structure for a new database of global physical activity policies, which was launched in the summer of 2020. The MOVING database currently includes 234 policy actions from 12 countries. The MOVING database is a logical and practical tool, allowing users to search for policy actions categorised in the structure of the MOVING framework.

Conclusion
The MOVING physical activity framework and database are innovative tools that support reporting, categorising and monitoring of physical activity policy actions that will work alongside the NOURISHING framework and database. These physical activity policy tools allow stakeholders such as researchers, civil society organizations and policy makers to quickly identify both gaps and strengths in government action and therefore assess where there is scope for improvement within and across countries. France, as a Member State of WHO Europe, plays a major role in the European strategy on physical activity, nutrition and health within a global framework for the Eght against noncommunicable diseases. France has adopted a National Sport Health Strategy for 2019-2024 intended to promote sports and physical activities (SPA) as a fully-fledged determinant of health and well-being lifelong. It is consistent with other strategies or plans implemented by other ministerial departments. The four axes of the NSHS are: 1/Promoting health and wellbeing through physical activity and sports, 2/Developing the offer of and participation in adapted physical actvities for therapeutic purposes and prevention of loss of autonomy; 3/ Better protecting sports people's health and improving safety of activities whatever their intensity; 4/Improving and disseminating knowledge on the impacts on physical condition and health of engaging in sports and physical activities. One of the key measure of the NSHS is indexing of ''Maisons Sport Santé'', Health Sport-Houses (HSH) aimed at receiving and orientating all those wishing to engage in, develop or resume sport or physical activities for health or wellbeing reasons, whatever their age, state of health or frailty. Following 3 calls for projects, 436 HSH have been recognized since 2019 and cover almost whole French territory. HSH can be integrated within an association, a hospital, a sports establishment or as digital platforms. A particular attention is paid to people with highly sedentary lifestyles and those with limited autonomy. People with chronic or long-term diseases (cancer, diabetes, heart disease, asthma, Alzheimer etc.) to whom physical activities adapted to their limitations have been prescribed are also priority targets.
''Month of Sport and Physical Activities'' is a large-scale communication campaign to promote the beneEts of sport and physical activities to a wide range of population. The aim is to spread recommendations on SPA and the Eght against sedentary behavior, to make SPA accessible to everyone and to encourage people and make them aware of the possibilities to practice in their daily life. Another goal is to give visibility to current actions in this area, to enable French people carry out (re) Abstract citation ID: ckac095.008 P01-08 Implementing school-based physical activityputting Policy into Practice Close to ten years ago, at the beginning of December 2012, the Danish government, announced its intention to implement comprehensive reforms of the public school system. Six months later, in June 2013, a broad-based political alliance agreed on extensive alterations in the legislation guiding Danish public schools. The discussions of the most recent major reform of Danish public schools, established a next to unequivocal consensus among the parties in the Danish Parliament, school employers and employees as well as voluntary sports organizations that children and young people should be more physically active during the school day. Thus, the updated Danish Education Act of 2013 made it compulsory for public schools to offer an average of 45 minutes of physical activity (PA) per school day. It is, however, painfully clear that the subsequent implementation of the primary policy goal to incorporate a minimum of 45 minutes of school-based PA for all pupils per day has been far from complete. According to some of the more exhaustive monitoring reports, in 2019 only six out of 10 schools fulfilled the basic PA-criterion. This was at the same level as in 2016. In spite of much political goodwill at both national, regional and local levels, significant investments of time and other resources by school authorities, professional organizations, a number of private and public foundations, individual employees and work teams, school managers and boards the number of schools actually adhering to current legislative goals related to